This is absolutely possible. It is, in fact, a very good way to achieve symmetry in both volume and shape between each of the breasts. In some cases it is even possible to reduce the volume of the larger breast with liposuction alone, although if there is a significant difference in nipple position an accompanying mastopexy and/or surgical breast reduction may be the best option. One thing to be aware of is that if a breast reduction is carried out to reduce the larger side to match the smaller breast, then both breasts will be the size of the smaller one.  If you are happy with this size then that is great. If, however, you think this will be too small for you then you may consider adding an implant to each side. In that way both breasts can be the exact size you want.  In my opinion, it is preferable, when there is a significant volume difference between the breasts and implants are being added, to first reduce the larger breast and add the same size implant to each side. (This can be done at the same surgery.)  I believe that this is better than placing different sized implants on each side to compensate for volume differences. I believe that it is easier to achieve symmetry both in the short term and the long term if both implants are the same size and the amount of breast tissue on each side is nearly the same as well.

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Breast Reduction

If you choose the same size implants (480cc), the difference in weight will be both negligible and unnoticeable to you.

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Breast Augmentation

Diluting Botox with 2.5cc of saline is one of the most common dilutions for cosmetic uses, however, the dilution is not really important in the administration of Botox. The total number of units of Botox injected into an area is what will primarily determine the effect of the Botox. A common dosage of Botox for the glabellar area (between the eyebrows) is 20 units divided over 5 injections. If the Botox is diluted with 2.5cc then at each site 0.1cc of Botox would be injected. To achieve the same dosage with a Botox dilution of only 1.0cc would require injections of 0.04cc at each of the 5 sites. With the way syringes are designed, it is actually easier to more precisely inject 0.1cc than 0.04cc. In the end the dilution is not the critical factor. What is important is the number of units of Botox injected.

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Botox Injection

Lipoplasty (liposuction) will reduce the amount of fat that you have between the skin and the underlying muscle layer. It will, however, have no effect on the amount of skin that you have. There can be some contraction of the skin following fat removal but, depending on your skin elasticity, the amount of contraction may be limited. If you have a lot of excess skin now, then it would be reasonable to assume that the problem could become worse following lipoplasty. A skin tightening procedure, such as a thigh lift, may be necessary to correct the “baggy” look. This procedure will leave more extensive scars than lipoplasty alone, but it will improve the contour of the treated areas. An ASAPS-member plastic surgeon can explain this procedure to you and give you a better idea of what the final result will be.

Liposuction